Look up the most recent NPI and PECOS records

Tresa Lanelle Nesbitt

Hospitalist

Allopathic & Osteopathic Physicians

450 Northside Cherokee Blvd, Canton, GA 30115-8015

PECOS Enrollment

This provider is enrolled in PECOS as TRESA NESBITT.

Based on the most recent information from CMS, provider Tresa Lanelle Nesbitt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1609154483
Provider Type
Individual
Full Name
Nesbitt, Tresa Lanelle
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/28/2011
Last Updated
9/18/2023

Contact Information

Practice Location

450 Northside Cherokee Blvd, Canton, GA 30115-8015

(770) 224-1000

(770) 224-2451

Mailing Location

734 Independence Ln, Acworth, GA 30102-3729

(571) 205-9790

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License 69074 Georgia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 68595 Connecticut
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 69074 Georgia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 329250 Louisiana

Tresa Lanelle Nesbitt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Dehoff, Drake Christian

Hyler, Paul J

Moody, Grant Herron

Liu, David

Ruiz-Lagos, Jose Benjamin

Muneer, Sumayya Fazal

Park, Annie

Sharma, Megha Lalit

Ma, Tian

Visser, Jessica Lynn